Case Report
Addison’s Disease Presenting as Acute Renal Failure and Hyperkalemic Paralysis: A Rare Presentation
| Test | At admission | Day 3 | Day 5 | At discharge | 6-month follow-up | Normal reference values |
| Glucose (mg/dl) | 76 | 143 | 109 | 97 | 99 | 59–140 | BUN (mg/dl) | 32 | 25 | 28 | 23 | 14 | 7–21 | Creatinine (mg/dl) | 1.7 | 1.5 | 1.1 | 1 | 1.22 | 0.5–1.3 | Serum sodium (mmol/l) | 124 | 132 | 138 | 135 | 137 | 135–145 | Serum potassium (mmol/l) | 8.8 | 5.3 | 4 | 3.8 | 4.5 | 3.5–5 | Serum chloride (mmol/l) | 99 | 99 | 103 | 99 | 100 | 93–105 | Serum CPK (IU/l) | 280 | 1318 | | | | 59–367 | Serum osmolality (mosm/kg) | 289 | | | | | 275–295 | Renin (direct) (pg/ml) | >1500 | | | | 47.1 | <33 | Plasma ACTH (pg/ml) | 261 | | 91.9 | | | 7.2–63.3 | Serum cortisol (μg/dl) | <0.4 | | | | | 6.7–27.6 | Serum aldosterone (ng/dl) | 2.8 | | | | | <23 | Serum TSH (mIU/l) | 3.7 | | | | | 0.4–4 | Urine osmolality (mosm/kg) | 445 | | | 628 | | 500–800 | Urine sodium (mmol/l) | 97 | | | 62 | | | Urine potassium (mmol/l) | 19 | | | 50 | | |
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BUN: blood urea nitrogen; CPK: creatinine phosphokinase; units are given in parentheses.
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